Harnessing technology to deliver care by physical therapists for people with persistent joint pain: Telephone and video-conferencing service models

Abstract

Purpose

The burden of musculoskeletal conditions, particularly osteoarthritis (OA), is expected to increase in coming decades as the world's population ages, and obesity rates continue to rise. Self-management via lifestyle interventions, such as exercise and physical activity, is integral to minimizing pain and maintaining physical function, yet access to qualified health professionals for evidence-based advice and support is difficult for many people. This article discusses how technology provides new opportunities for delivering physiotherapy services remotely to people with persistent joint pain, through telephone, and internet-mediated video conferencing.

Methods

The evidence for effectiveness of such service models is reviewed. Key challenges to implementation are discussed, and future directions for research in the field are highlighted.

Results

There is emerging evidence that the provision of care via telephone and internet-mediated video technologies is effective for, and acceptable to, people with OA. Advantages include its convenience and accessibility, as well as the “hands-off” nature of consultations. Challenges include patient safety and privacy and workforce willingness and capacity to deliver care via non-traditional methods.

Conclusions

Using technology to deliver physiotherapy services to people with OA is feasible and acceptable to users; however, further research is required to expand the evidence-base for remotely-delivered physiotherapy service models.